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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Taking 4 Pill Of Telenol Instead Of 2 Can Cause Harm?

I am not positive because I was so busy but I may have taken 4 generic Tylenol pm instead of two. I don't remember if I already took 2 because I was on the phone and helping my boyfriend with some of his work at home. Will I be ok if I did accidentally take 4 instead of 2?
Mon, 25 Aug 2014
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Addiction Medicine Specialist 's  Response
4 pills of extra strength is right at the borderr of DANGEROUS (4 grams). 4 of 325... no way... they add up to slightly more than one extra strength..... 4 of 625.... probably not so bad...... but its a controversial area.. if it is over a day since it occurred, then there isn't an antidote if it is within an hour, then an antidote would proably work if given soon even if it were most of a bottle !
cannot say on your particular case.
4000 milligrams is the general cut off... higher bad.. lower not so bad.
under 2000 really don't worry.
AND.... other medications can also have tylenol in them and add up to very bad (percocet, and some cold preparations are the worst because people forget there's tylenol in them)
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Does Taking 4 Pill Of Telenol Instead Of 2 Can Cause Harm?

4 pills of extra strength is right at the borderr of DANGEROUS (4 grams). 4 of 325... no way... they add up to slightly more than one extra strength..... 4 of 625.... probably not so bad...... but its a controversial area.. if it is over a day since it occurred, then there isn t an antidote if it is within an hour, then an antidote would proably work if given soon even if it were most of a bottle ! cannot say on your particular case. 4000 milligrams is the general cut off... higher bad.. lower not so bad. under 2000 really don t worry. AND.... other medications can also have tylenol in them and add up to very bad (percocet, and some cold preparations are the worst because people forget there s tylenol in them)